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General NPI Number Information
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NPI Number | 1598940827
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Entity Type | Organization
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Legal Business Name | BRADY, P.C.
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Dates
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Enumeration Date | 01/05/2008
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 1337 LILY CACHE LN
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City | BOLINGBROOK
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State | IL
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Zip | 60490-4600
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Country | US
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Telephone | 630-226-5110
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Fax | 630-226-5120
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Provider Business Mailing Address
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Address Line | 13430 SKYLINE DR
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City | PLAINFIELD
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State | IL
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Zip | 60585-1914
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Country | US
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Telephone | 630-650-8742
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Fax | 630-226-5120
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/PRESIDENT
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Name | DR. TRICIA LYNN MITCHELL
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Credential | MPT, DPT
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Telephone | 630-650-8742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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